Bruckner Plaza Dental Service

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039769 Issued in NY

Legal business name

BRUCKNER PLAZA DENTAL SERVICE

Practice address

1967 Turnbull Ave Ste 21a
Bronx, NY 10473-2519

Phone

(718) 823-3393

Fax

(718) 823-3449

NPI assigned

Mar 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Scott Beatus, D.D.S.

Title

President

Phone

(718) 823-3393

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1427220540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 TURNBULL AVE STE 21A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732519",
            "telephone_number": "718-823-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 TURNBULL AVE STE 21A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732519",
            "telephone_number": "718-823-3393",
            "fax_number": "718-823-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCKNER PLAZA DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "BEATUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-823-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Brucelas, RN
• Lance Richard Bruck
• Jason J Brucker, MD
• Bruckner Dental Group LLP
• Bruckner Forever Young Social Adult Day Care, Inc
• Bruckner Plaza Pharmacy Inc
• Howard Warren Bruckner, M.D.
• Jamie Christine Brudecki, MA-CCCA
• Emily Bruder
• Allison Brudner

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.